Pettswood pharmacy
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    Pharmacy Club Card

    Your Personal Details:
    * Title:
    * First Name:
    * Last Name:
    * Date Of Birth:  -   -    (dd-MM-yyyy)
    * Address 1:
    Address 2:
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    Choose Surgery
    Doctor's Name
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    Carer Relation:
    Carer Tel.:
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    Health and Wellbeing Clubs:    
     
    Health and Wellbeing Interests:    
     
    Parenting Club  
    Do you have children?  
    No of Children you have?
    Age of children?
      0-6 months   6-12 months
      12-36 months   3-5 years
      5-7 years   8+ years
    How you like us to contact you:            
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    Time Generated Marketing ®:
     
    1. Repeat and Electronic Prescription:

    (A) I hereby authorise Pettswood pharmacy to order any repeat prescription I request for myself or anyone else through this website and to collect, either in person or by means of electronic transfer, my prescriptions from the surgery shown above on my behalf. I will inform you if I wish to make changes to this agreement.

    (B) I hereby authorise the Pettswood pharmacy to collect either in person or by means of electronic transfer, my prescriptions from the surgery / doctors shown above on my behalf. I will inform you if I wish to make any changes to this agreement.

    (C) The Repeat and Electronic Prescription service shall collectively be known as Prescription Services.

     

    2. Other Pharmacy Services:
    • I agree to receive healthcare communications under the Pharmacy Club Card scheme run by this pharmacy.
    • The Pharmacy Club Card Scheme is promoted by Data Driven Networks Limited (71-75 Shelton Street, Covent Gardens, London, WC2H 9JQ) under licence from Data Driven Business Network Group.
    • All Pharmacy Club Cards belong to the participating pharmacy and Data Driven Business Group.
    • The Pharmacy Club Card is valid only at the pharmacy issuing the card and other participating locations, details are available on request.
    • Your Pharmacy Club Card is personal to you. We do not issue additional cards for your account. You are able to unsubscribe to the service at any time by contacting the issuing pharmacy or Data Driven Business Group.
    • All offers related or provided by the issuing retail Pharmacy Club location are exclusive and at the sole discretion of the pharmacy location issuing the card.
    • The pharmacy issuing the card is not responsible for products and services from third party suppliers. These are offered according to that supplier’s terms and conditions.
    • Data Driven Business Group or the pharmacy issuing the card can cancel or withdraw the scheme or any individual card at any time.
    • The pharmacist or Data Driven Business Group can change the terms & conditions of the scheme. We will always give you notice of changes. We will display notices on www.pharmacyclubcard.co.uk. You can get the latest terms and conditions by writing Data Driven Business Group, 71-75 Shelton Street, Covent Gardens, London, WC2H 9JQ.
    3. Data Protection:

    (A) We will never give your personal details to anyone outside the ‘Data Driven Business Group’ group of companies and their successors. We will analyse your purchase history to provide you with relevant and personalised offers, information and advice, helping you choose products that are right for you.

     4. Ancillary Prescription Services:

    (A) I understand that should I choose to receive ancillary prescription services such as prescription reminders by email, SMS or text messaging that in the event of failure or disruption to these services or any other service resulting in incorrect or improper communications which are in any way different from the proper instructions received by my doctor, pharmacist or other appropriate healthcare professional the instructions received by my doctor, pharmacist or other appropriate healthcare professional shall always take precedence and should always be followed.

     5. Use of Website

    • Registered and non-registered users may strictly only use this website for personal healthcare services and not for any commercial use at all either directly or indirectly by, for example only, providing personal login details to others for commercial use.
    • Any user found to be using, or facilitating the use of, content provided by this website, or the pharmacy, for any type of commercial interests may be held in breach of clause 5(A).
    • C. The pharmacy and DDN reserve the right to refuse registration and or services to any user and in particular, but not limited to, those breaching clause 5(A) or those who fall into the category of persons described by clause 5(B).

     
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